Brennan T Kitchen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32997 Issued in AZ

Practice address

480 S Willard St
Cottonwood, AZ 86326-4128

Phone

(928) 649-9726

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diamond D Rehab Fitness & Wellness

  • Physical Therapy Clinic/Center
  • Camp Verde, AZ
  • NPI 1316718273

  Physical Therapist

  Medicare reassignment NPD
• Northern Arizona Rehabilitation & Fitness

  • Physical Therapist
  • Cottonwood, AZ
  • NPI 1073515235
  Medicare reassignment NPD
• Farnsworth Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1801955455
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1598458192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264128",
            "telephone_number": "928-649-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "BRENNAN",
        "middle_name": "T",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Christina King, DMD
• Deborah Eve King, LCSW
• Michael King, MA
• Robert Scott Kinkade, M .D.
• Trudy S Kirkley, LCSW
• KM Corporation (Home Helpers/Direct Link)
• Nicole Friece Knust, RN, MSN, FNP-BC
• Margaret F. Kobe, M.D.
• Elizabeth Koehl, LMT
• Robert Louis Koehl, LPC

• Physical Therapist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.